Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | C10007279 | DE |
N | 2080P0204X | Pediatric Emergency Doctor | C10007279 | DE |
NPI | 1457442733 |
---|---|
Provider Name | Dr. Maria Carmen G. Diaz |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 06/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0033812 | (05) | NJ |
02656288 | (05) | NY |
101141605 | (05) | PA |
4050649 | (05) | MD |
H40991 | (02) | |
Q07279 | (05) | SC |